PAR-Q (Physical Activity Readiness Questionaire)

Regular physical activity is fun and healthy, and more people should become more physically active every day of the week. Being more physically active is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.
Please read the 7 questions below carefully and answer each one honestly: check YES or NO.

Full Name *
Email Address *
1. Has your doctor ever said that you have a heart condition OR high blood pressure? *
2. Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity? *
3. Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months? Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise). *
4. Have you ever been diagnosed with another chronic medical condition(other than heart disease or high blood pressure)? *
5. Are you currently taking prescribed medications for a chronic medical condition? *
6.Do you have a bone or joint problem that could be made worse by becoming more physically active?Please answer NO if you had a joint problem in the past, but it does not limit your current ability to be physically active. For example, knee, ankle, shoulder or other. *
7. Has your doctor ever said that you should only do medically supervised physical activity? *
By checking this box I confirm that I have read, understood and completed this questionnaire. Any question that I had were answered to my full satisfaction.

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